Active NPI
Manuel Edgardo Cabezas, HHP
- Health Educator
- San Diego, CA
National Provider Identifier
1386971364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- B1995000055
- Practice address
- 4980 Arvinels Ave
San Diego, CA 92117-2324 - Phone
- (858) 229-7479
- NPI assigned
- Nov 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | B1995000055 | CA | Primary |
Addresses
Primary practice location
4980 Arvinels Ave
San Diego, CA 92117-2324
Mailing address
4980 Arvinels Ave
San Diego, CA 92117-2324
Phone (858) 229-7479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B1995000055 | Other | CA | HOLISTIC HEALTH PRACTITIONER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B1995000055 | CA | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1386971364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4980 ARVINELS AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921172324",
"telephone_number": "858-229-7479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4980 ARVINELS AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921172324",
"telephone_number": "858-229-7479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABEZAS",
"first_name": "MANUEL",
"middle_name": "EDGARDO",
"name_prefix": "Mr.",
"credential": "HHP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-11",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "CA",
"license": "B1995000055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOLISTIC HEALTH PRACTITIONER",
"identifier": "B1995000055",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.